Organization Name: | ADR CLINICAL ASSOCIATES, INC. |
NPI Number: | 1003902685 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT ABDO (PRESIDENT) |
Mailing Address: | 1309 Jamestown Rd Ste. 101 Williamsburg |
State: | VA US |
Postal Code: | 231853380 |
Phone Number: | 7572208800 |
Fax Number: | 7572208811 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |